The atlantoaxial joint is a joint in the upper part of the neck between the first and second cervical vertebrae; the atlas and axis. It is a pivot joint. The atlantoaxial joint is a joint in the upper part of the neck between the first and second cervical vertebrae; the atlas and axis. It is a pivot joint. The atlantoaxial joint is of a complicated nature. It consists of no fewer than four distinct joints. There is a pivot articulation between the odontoid process of the axis and the ring formed by the anterior arch and the transverse ligament of the atlas. There are three atlantoaxial joints: one median and two lateral: